Kaiser Permanente and the Alliance of Health Care Unions
Two nurses, wearing blue scrubs, talking with each other

Standarizing communication between nurses helped one UBT decrease its overtime costs. 

Decreased Overtime Works Double-Time for Patients

Inpatient nurses at Moanalua Medical Center found that standardizing change-of-shift communications enabled them to reduce annual overtime costs by $80,000. Unit-based team members created a report called “Say It In Five” to help nurses communicate key details about patient care, including diagnosis, lab results and pain management. The UBT also made changes to end-of-shift nursing assignments and adjusted workflows for hospital aides. As a result, the team was able to reduce overtime hours from 103 hours to 88 hours in a single pay period.

Here's What Worked

  • Standardizing end-of-shift communication between nurses
  • Assigning outgoing nurse assignments to incoming nurses
  • Creating new workflows for hospital aides

What can your team do to reduce unnecessary variation?

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